Iatrogenic internal mammary artery to coronary vein fistula.
Iatrogenic aortocoronary vein fistula following coronary artery bypass surgery is a rare complication. We describe the first reported case of inadvertent anastomosis of the left internal mammary artery to cardiac vein. The clinical characteristics and consequences as well as the angiographic characteristics of this fistula are described. Precautions that may be taken to prevent this complication are also addressed.
de Marchena
E
E
Department of Medicine, Veterans Administration Medical Center, University of Miami School of Medicine 33101.
Musial
B
B
Wozniak
P
P
Schob
A
A
Chakko
S
S
Kessler
K M
KM
D000368:Aged; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003331:Coronary Vessels / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008323:Mammary Arteries / Q000601:surgery; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D013895:Thoracic Arteries / Q000601:surgery; D014680:Veins